CARECHECK Washington, DC · nursing home inspections, itemized CMS data processed Jun 1, 2026
CareCheckWashington, DC nursing homes › Serenity Rehabilitation And Health Center LLC

Serenity Rehabilitation And Health Center LLC

1380 Southern Ave Se, Washington, DC 20032 · 2022795880
CCN 095015 Provider type Medicare and Medicaid County The District Last standard health inspection Oct 20, 2023
Older survey data. CMS flags this facility's most recent standard health inspection as more than 2 years old (last standard survey on file: Oct 20, 2023). Conditions may have changed since.

CMS star ratings — CMS's own composite; the ledger below is the underlying record

Overall
Above average · CMS composite of the three below
Health inspection
Average · from the two most recent standard surveys
Staffing
Above average · nurse hours vs. resident needs
Quality measures
Much above average · facility-reported clinical measures

Health inspection stars are graded on a curve within each state — they don't compare across state lines. The quality-measures star is based largely on assessments the facility reports about itself. How the ratings work.

Health inspection citation ledger

Everything CMS currently publishes for this facility (about three survey cycles). The star rating above counts only the two most recent standard surveys, so this ledger remembers more than the stars do. Fire-safety inspections are published separately by CMS and aren't shown here. Full inspection reports (Form CMS-2567, with the inspectors' complete findings) are on this facility's Medicare.gov page.

83
health citations on file
1
at harm level or worse (G–L)
6
surveys
Jan 16, 2026 — Health survey 2 citations
D F-641 no actual harm; potential for more than minimal harm · isolated · found via complaint
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
No correction date on file
D F-687 no actual harm; potential for more than minimal harm · isolated · found via complaint
Provide appropriate foot care.
No correction date on file
Feb 5, 2025 — Health survey 20 citations
D F-550 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents weren't treated with dignity or weren't allowed to make their own choices.
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Mar 20, 2025
D F-568 no actual harm; potential for more than minimal harm · isolated · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected Mar 20, 2025
D F-584 no actual harm; potential for more than minimal harm · isolated · found via complaint
The building or rooms weren't kept safe, clean, comfortable, and homelike.
CMS requirement: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected Mar 20, 2025
D F-609 no actual harm; potential for more than minimal harm · isolated · found via complaint
Suspected abuse, neglect, or theft wasn't reported to authorities on time.
CMS requirement: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 20, 2025
D F-610 no actual harm; potential for more than minimal harm · isolated · found via complaint
Reported abuse or neglect allegations weren't properly investigated or acted on.
CMS requirement: Respond appropriately to all alleged violations.
Corrected Mar 20, 2025
D F-625 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents weren't told in writing how long their bed would be held during a hospital stay.
CMS requirement: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected Mar 20, 2025
D F-641 no actual harm; potential for more than minimal harm · isolated · found via complaint
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
Corrected Mar 20, 2025
D F-645 no actual harm; potential for more than minimal harm · isolated · found via complaint
Required screening for mental illness or intellectual disability before admission didn't happen.
CMS requirement: PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Mar 20, 2025
D F-656 no actual harm; potential for more than minimal harm · isolated · found via complaint
Care plans were missing pieces — not every need a resident has was written into a measurable plan.
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 20, 2025
D F-657 no actual harm; potential for more than minimal harm · isolated · found via complaint
Care plans weren't finished within 7 days of assessment, or weren't built and reviewed by the right team.
CMS requirement: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Mar 20, 2025
D F-676 no actual harm; potential for more than minimal harm · isolated · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Mar 20, 2025
D F-688 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents didn't get care to maintain mobility and range of motion.
CMS requirement: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Mar 20, 2025
D F-689 no actual harm; potential for more than minimal harm · isolated · found via complaint
Inspectors found accident hazards, or residents weren't supervised closely enough to prevent falls and injuries.
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 20, 2025
D F-690 no actual harm; potential for more than minimal harm · isolated · found via complaint
Bladder and bowel care fell short — catheter care or steps to prevent urinary tract infections.
CMS requirement: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 20, 2025
D F-726 no actual harm; potential for more than minimal harm · isolated · found via complaint
Nurses and aides lacked the demonstrated skills to care for their residents.
CMS requirement: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Mar 20, 2025
D F-756 no actual harm; potential for more than minimal harm · isolated · found via complaint
Monthly pharmacist reviews of each resident's medications didn't happen or irregularities weren't reported.
CMS requirement: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Mar 20, 2025
D F-760 no actual harm; potential for more than minimal harm · isolated · found via complaint
A resident experienced a significant medication error.
CMS requirement: Ensure that residents are free from significant medication errors.
Corrected Mar 20, 2025
E F-761 no actual harm; potential for more than minimal harm · pattern · found via complaint
Medications weren't labeled or locked up the way pharmacy rules require.
CMS requirement: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected Mar 20, 2025
D F-800 no actual harm; potential for more than minimal harm · isolated · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected Mar 20, 2025
E F-880 no actual harm; potential for more than minimal harm · pattern · found via complaint
The home didn't follow infection prevention and control rules — things like hand hygiene, isolation precautions, or tracking infections.
CMS requirement: Provide and implement an infection prevention and control program.
Corrected Mar 20, 2025
Oct 20, 2023 — Health survey 12 citations
D F-550 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents weren't treated with dignity or weren't allowed to make their own choices.
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 10, 2023
D F-584 no actual harm; potential for more than minimal harm · isolated · found via complaint
The building or rooms weren't kept safe, clean, comfortable, and homelike.
CMS requirement: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected Nov 10, 2023
E F-609 no actual harm; potential for more than minimal harm · pattern · found via complaint
Suspected abuse, neglect, or theft wasn't reported to authorities on time.
CMS requirement: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 10, 2023
E F-610 no actual harm; potential for more than minimal harm · pattern · found via complaint
Reported abuse or neglect allegations weren't properly investigated or acted on.
CMS requirement: Respond appropriately to all alleged violations.
Corrected Nov 10, 2023
D F-641 no actual harm; potential for more than minimal harm · isolated · found via complaint
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
Corrected Nov 10, 2023
D F-684 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents didn't get treatment or care the way their doctors ordered or their care goals called for.
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Nov 10, 2023
D F-685 no actual harm; potential for more than minimal harm · isolated · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected Nov 10, 2023
D F-726 no actual harm; potential for more than minimal harm · isolated · found via complaint
Nurses and aides lacked the demonstrated skills to care for their residents.
CMS requirement: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Nov 10, 2023
F F-812 no actual harm; potential for more than minimal harm · widespread · found via complaint
Problems with safe food handling — storage temperatures, kitchen sanitation, or food from unapproved sources.
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 10, 2023
D F-842 no actual harm; potential for more than minimal harm · isolated · found via complaint
Medical records were incomplete, inaccurate, or not kept confidential.
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Nov 10, 2023
D F-849 no actual harm; potential for more than minimal harm · isolated · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Nov 10, 2023
D F-880 no actual harm; potential for more than minimal harm · isolated · found via complaint
The home didn't follow infection prevention and control rules — things like hand hygiene, isolation precautions, or tracking infections.
CMS requirement: Provide and implement an infection prevention and control program.
Corrected Nov 10, 2023
Jul 7, 2023 — Health survey 7 citations
D F-607 no actual harm; potential for more than minimal harm · isolated · found via complaint
The home's written policies to prevent abuse, neglect, and theft were missing or not followed.
CMS requirement: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Aug 3, 2023
D F-610 no actual harm; potential for more than minimal harm · isolated · found via complaint
Reported abuse or neglect allegations weren't properly investigated or acted on.
CMS requirement: Respond appropriately to all alleged violations.
Corrected Aug 3, 2023
D F-641 no actual harm; potential for more than minimal harm · isolated · found via complaint
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
Corrected Aug 3, 2023
D F-677 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents who need help with daily basics — bathing, dressing, eating, hygiene — didn't get that help.
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 3, 2023
D F-684 no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents didn't get treatment or care the way their doctors ordered or their care goals called for.
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 3, 2023
D F-685 no actual harm; potential for more than minimal harm · isolated · found via complaint
Assist a resident in gaining access to vision and hearing services.
Corrected Aug 3, 2023
D F-842 no actual harm; potential for more than minimal harm · isolated · found via complaint
Medical records were incomplete, inaccurate, or not kept confidential.
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Aug 3, 2023
Jun 29, 2022 — Health survey 23 citations
D F-550 no actual harm; potential for more than minimal harm · isolated
Residents weren't treated with dignity or weren't allowed to make their own choices.
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Sep 23, 2022
D F-584 no actual harm; potential for more than minimal harm · isolated
The building or rooms weren't kept safe, clean, comfortable, and homelike.
CMS requirement: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected Sep 23, 2022
G F-600 actual harm · isolated
A failure to protect residents from abuse, neglect, or physical punishment.
CMS requirement: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Sep 23, 2022
E F-607 no actual harm; potential for more than minimal harm · pattern
The home's written policies to prevent abuse, neglect, and theft were missing or not followed.
CMS requirement: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Sep 23, 2022
E F-609 no actual harm; potential for more than minimal harm · pattern
Suspected abuse, neglect, or theft wasn't reported to authorities on time.
CMS requirement: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 23, 2022
E F-610 no actual harm; potential for more than minimal harm · pattern
Reported abuse or neglect allegations weren't properly investigated or acted on.
CMS requirement: Respond appropriately to all alleged violations.
Corrected Sep 23, 2022
E F-625 no actual harm; potential for more than minimal harm · pattern
Residents weren't told in writing how long their bed would be held during a hospital stay.
CMS requirement: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected Nov 8, 2022
D F-656 no actual harm; potential for more than minimal harm · isolated
Care plans were missing pieces — not every need a resident has was written into a measurable plan.
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Sep 23, 2022
D F-657 no actual harm; potential for more than minimal harm · isolated
Care plans weren't finished within 7 days of assessment, or weren't built and reviewed by the right team.
CMS requirement: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Sep 23, 2022
D F-676 no actual harm; potential for more than minimal harm · isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Nov 8, 2022
D F-677 no actual harm; potential for more than minimal harm · isolated
Residents who need help with daily basics — bathing, dressing, eating, hygiene — didn't get that help.
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Sep 23, 2022
E F-684 no actual harm; potential for more than minimal harm · pattern
Residents didn't get treatment or care the way their doctors ordered or their care goals called for.
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 23, 2022
E F-686 no actual harm; potential for more than minimal harm · pattern
Pressure ulcer (bedsore) care fell short — existing sores weren't treated properly or new ones weren't prevented.
CMS requirement: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Sep 23, 2022
D F-688 no actual harm; potential for more than minimal harm · isolated
Residents didn't get care to maintain mobility and range of motion.
CMS requirement: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected Sep 23, 2022
D F-689 no actual harm; potential for more than minimal harm · isolated
Inspectors found accident hazards, or residents weren't supervised closely enough to prevent falls and injuries.
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Sep 23, 2022
D F-697 no actual harm; potential for more than minimal harm · isolated
Pain wasn't managed safely or appropriately.
CMS requirement: Provide safe, appropriate pain management for a resident who requires such services.
Corrected Sep 23, 2022
D F-698 no actual harm; potential for more than minimal harm · isolated
Dialysis care or coordination with dialysis providers wasn't safe or appropriate.
CMS requirement: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Sep 23, 2022
D F-726 no actual harm; potential for more than minimal harm · isolated
Nurses and aides lacked the demonstrated skills to care for their residents.
CMS requirement: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Sep 23, 2022
D F-755 no actual harm; potential for more than minimal harm · isolated
Pharmacy services fell short — the facility didn't properly use a licensed pharmacist to manage medications.
CMS requirement: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Sep 23, 2022
D F-803 no actual harm; potential for more than minimal harm · isolated
Menus didn't meet residents' nutritional needs or weren't followed.
CMS requirement: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected Sep 23, 2022
D F-812 no actual harm; potential for more than minimal harm · isolated
Problems with safe food handling — storage temperatures, kitchen sanitation, or food from unapproved sources.
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Sep 23, 2022
D F-880 no actual harm; potential for more than minimal harm · isolated
The home didn't follow infection prevention and control rules — things like hand hygiene, isolation precautions, or tracking infections.
CMS requirement: Provide and implement an infection prevention and control program.
Corrected Sep 23, 2022
D F-908 no actual harm; potential for more than minimal harm · isolated
Essential equipment wasn't kept in safe working order.
CMS requirement: Keep all essential equipment working safely.
Corrected Sep 23, 2022
Sep 3, 2019 — Health survey 19 citations
E F-567 no actual harm; potential for more than minimal harm · pattern
Honor the resident's right to manage his or her financial affairs.
Corrected Nov 22, 2019
D F-600 no actual harm; potential for more than minimal harm · isolated
A failure to protect residents from abuse, neglect, or physical punishment.
CMS requirement: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Nov 22, 2019
D F-656 no actual harm; potential for more than minimal harm · isolated
Care plans were missing pieces — not every need a resident has was written into a measurable plan.
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 22, 2019
D F-657 no actual harm; potential for more than minimal harm · isolated
Care plans weren't finished within 7 days of assessment, or weren't built and reviewed by the right team.
CMS requirement: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Nov 22, 2019
D F-658 no actual harm; potential for more than minimal harm · isolated
Care provided didn't meet professional standards of quality.
CMS requirement: Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Nov 22, 2019
D F-692 no actual harm; potential for more than minimal harm · isolated
Residents didn't get enough food or fluids to stay healthy.
CMS requirement: Provide enough food/fluids to maintain a resident's health.
Corrected Nov 22, 2019
D F-698 no actual harm; potential for more than minimal harm · isolated
Dialysis care or coordination with dialysis providers wasn't safe or appropriate.
CMS requirement: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Nov 22, 2019
E F-710 no actual harm; potential for more than minimal harm · pattern
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected Nov 22, 2019
D F-726 no actual harm; potential for more than minimal harm · isolated
Nurses and aides lacked the demonstrated skills to care for their residents.
CMS requirement: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Nov 22, 2019
D F-744 no actual harm; potential for more than minimal harm · isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected Nov 22, 2019
E F-756 no actual harm; potential for more than minimal harm · pattern
Monthly pharmacist reviews of each resident's medications didn't happen or irregularities weren't reported.
CMS requirement: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Nov 22, 2019
E F-761 no actual harm; potential for more than minimal harm · pattern
Medications weren't labeled or locked up the way pharmacy rules require.
CMS requirement: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected Nov 22, 2019
D F-790 no actual harm; potential for more than minimal harm · isolated
Provide routine and 24-hour emergency dental care for each resident.
Corrected Nov 22, 2019
F F-812 no actual harm; potential for more than minimal harm · widespread
Problems with safe food handling — storage temperatures, kitchen sanitation, or food from unapproved sources.
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 22, 2019
E F-842 no actual harm; potential for more than minimal harm · pattern
Medical records were incomplete, inaccurate, or not kept confidential.
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Nov 22, 2019
F F-880 no actual harm; potential for more than minimal harm · widespread
The home didn't follow infection prevention and control rules — things like hand hygiene, isolation precautions, or tracking infections.
CMS requirement: Provide and implement an infection prevention and control program.
Corrected Nov 22, 2019
D F-908 no actual harm; potential for more than minimal harm · isolated
Essential equipment wasn't kept in safe working order.
CMS requirement: Keep all essential equipment working safely.
Corrected Nov 22, 2019
D F-919 no actual harm; potential for more than minimal harm · isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Nov 22, 2019
F F-947 no actual harm; potential for more than minimal harm · widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Nov 22, 2019

Fines & penalties ledger

$47,684
federal fines imposed
0
payment denials
DateTypeAmount / length
Mar 28, 2025Fine$47,684

Amounts are as imposed by CMS. What a facility actually pays may be lower — federal rules give a 35% reduction for waiving appeal rights, and appeals or settlements can reduce fines further.

Staffing vs. benchmarks

Total nurse staffing, hours per resident per day

Serenity Rehabilitation And Health Center LLC
3.54
DC average
5.12
National average
3.87

Registered nurse (RN) hours per resident per day

Serenity Rehabilitation And Health Center LLC
1.07
DC average
1.90
National average
0.68

Weekend total nurse hours per resident per day

Serenity Rehabilitation And Health Center LLC
3.19
DC average
4.58
National average
3.43

Hours are facility-reported payroll figures published by CMS. Turnover: total nursing staff 35.4% · RN 22.2%.

Ownership

Ownership typeFor profit - Limited Liability company
Legal business nameSERENITY REHABILITATION AND HEALTH CENTER LLC
ChainNot part of a chain (per CMS data)
Certified beds183
Average residents per day176.8
Changed ownership in last 12 monthsNo